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There are several potential explanations for these observations, including (1) coupling with different G subunits may lead to the activation of protein kinase C (PKC) and ultimately an increase in -cell mass, especially under conditions of chronic administration, (2) their role in promoting protection against necrotizing or apoptotic -cell death 76,77 , and (3) activation of phosphatidylinositol 3 kinase y-subunit (PI3K), a kinase identified as a component of the neuropeptide Y signaling cascade which may aid in the correct localization of insulin granules to facilitate insulin secretion 78,79

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Understanding the mechanism of action Together, sitagliptin and metformin help lower blood sugar levels more effectively than either medication alone, especially after meals

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